Gambrel, Thomas J

Gambrel, Thomas J is an individual health care provider with primary practice located at 2702 E Flower St , Phoenix AZ 85016-7498. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Gambrel, Thomas J can be contacted via phone (602) 381-6000.

Contact Information

Primary practice address
2702 E Flower St Phoenix AZ 85016-7498
Phone: (602) 381-6000
Fax: (602) 381-6019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 005240 Arizona

Profile Details

NPI number 1043824329
LBN Legal business name Gambrel, Thomas J
Credentials PHD, NCSP, LICENSED
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2020
Last updated Sep 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043824329 NPPES
Arizona MEDICAID UNKNOWN

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